Organization · Type 2 NPI

Fayette Physician Network Inc

Non-Pharmacy Dispensing Site · Masontown, PA

NPI number 1053704429 Active

Practice location

2175 Mcclellandtown Rd
Masontown, PA 15461-2593

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XMD417327 (PA)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

4 other providers at this address

About NPI 1053704429

Fayette Physician Network Inc's National Provider Identifier is 1053704429, issued on Mar 10, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Masontown, PA. The record was last updated on Mar 10, 2015.